| NPI | 1497379770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1648) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA2105) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2024-05-16 |