| NPI | 1730658808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA2127) |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology (Licence: NC 0010-09184) |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2024-02-12 |