| NPI | 1851416986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0350) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 1041) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-09-08 |