| NPI | 1306400700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ME PA2066) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME PA2066) |
| 363A00000X Physician Assistant (Licence: ME PA2066) | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2021-07-08 |