| NPI | 1730499963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0808) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA001250) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2020-03-02 |