| NPI | 1326700121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1808) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2022-01-14 |