| NPI | 1598281305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: NH 1298) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA6227) |
| 363A00000X Physician Assistant (Licence: NH 1298) | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2023-08-08 |