| NPI | 1841601515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1228) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4982) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2023-02-09 |