| NPI | 1669018529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ME PA2684) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL 9112618) |
| 363A00000X Physician Assistant (Licence: TX PA14583) | |
| 363A00000X Physician Assistant (Licence: ME PA2684) | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2025-09-19 |