| NPI | 1942546221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA2933) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08084) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2025-08-19 |