| NPI | 1497781173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NH 0285 P) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 0285 P) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2011-04-29 |