| NPI | 1881852150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: ME PA2058) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: ME PA2058) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2024-08-30 |