| NPI | 1770697005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 1064) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 1814) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2023-11-14 |