| NPI | 1679982862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA1646) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 10989) |
| 363A00000X Physician Assistant (Licence: NH PA1890) | |
| 363A00000X Physician Assistant (Licence: MA PA8967) | |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2023-12-28 |