| NPI | 1215406491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA061440) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: ME PA1903) |
| 363A00000X Physician Assistant (Licence: ME PA1903) | |
| 363AM0700X Physician Assistant, Medical (Licence: OH 50.006795) | |
| Enumeration Date | 2018-11-18 |
| Last Update Date | 2020-12-08 |