| NPI | 1295757524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA1613) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2042) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-05-15 |