| NPI | 1851718639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1244) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA4932) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2024-10-07 |