| NPI | 1326667692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 2946) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA7917) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2025-07-16 |