| NPI | 1780311274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PENDING) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 1993) |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2025-02-03 |