| NPI | 1285116277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1797) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: 1797) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2021-11-06 |