| NPI | 1831525534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1327) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9107427) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2023-11-17 |