| NPI | 1336762699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1639) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VT 055.0031476) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2023-03-21 |