| NPI | 1437686706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA6121) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 1263) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2023-11-22 |