| NPI | 1467428912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5181) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: ME AC 287) |
| 363A00000X Physician Assistant (Licence: ME PA-817) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2025-05-01 |