| NPI | 1316520489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1930) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2022-11-14 |