| NPI | 1528881752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA101309) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA PA101309) |
| 363AM0700X Physician Assistant, Medical (Licence: MA PA101309) | |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2025-04-22 |