| NPI | 1841042983 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ME PA26399) | 
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: ME PA2639) | 
| Enumeration Date | 2024-04-02 | 
| Last Update Date | 2024-04-16 |