| NPI | 1801380720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1815) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NC 239027) |
| 363A00000X Physician Assistant (Licence: NC 0010-08142) | |
| 363A00000X Physician Assistant (Licence: NC 239027) | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2024-01-03 |