| NPI | 1437790144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: ME PA1990) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA1990) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2023-09-07 |