| NPI | 1720019466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME pa1684) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA2597) |
| 207P00000X Emergency Medicine (Licence: NY 022418-01) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-03-08 |