| NPI | 1487291050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA2334) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VT 055-0031471) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2022-09-12 |