| NPI | 1891232401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1965) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 020538) |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2023-04-12 |