| NPI | 1518460229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 2035) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2018004207) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2023-11-15 |