| NPI | 1942778394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1869) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA7730) |
| Enumeration Date | 2018-11-04 |
| Last Update Date | 2024-01-10 |