| NPI | 1598411860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9116975) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA2322) |
| 207P00000X Emergency Medicine (Licence: ME PA2322) | |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2025-11-17 |