| NPI | 1497384689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ME PA2495) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA2495) |
| 363AS0400X Physician Assistant, Surgical (Licence: RI PA01215) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2025-09-22 |