| NPI | 1497317457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 2847) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA2026) |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2024-10-31 |