| NPI | 1285957183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA3936) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA PA3936) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2023-10-16 |