| NPI | 1447294376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA001038) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C02976) |
| 363AS0400X Physician Assistant, Surgical (Licence: ME PA001038) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2013-05-28 |