| NPI | 1902361256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1547) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA1901) |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2021-01-27 |