| NPI | 1609512763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1895) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 1895) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2024-12-13 |