| NPI | 1942383419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0606) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA6896) |
| 363A00000X Physician Assistant (Licence: ME PA1372) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2024-04-08 |