| NPI | 1245750892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 3540) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA6096) |
| Enumeration Date | 2017-06-25 |
| Last Update Date | 2025-12-18 |