| NPI | 1417566837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA2335) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0009098) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2025-06-24 |