NPI | 1730119058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ME PA1056) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA1056) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2022-03-03 |