| NPI | 1225494198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1147) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2020-10-08 |