| NPI | 1912717323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VT 055.0031809) |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-06-03 |