| NPI | 1447650866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 1441) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA PA5131) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2020-06-23 |