| NPI | 1265710735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA2958) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA.1442) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2026-02-24 |