| NPI | 1295237527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 1348) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA PA6466) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2024-10-16 |