| NPI | 1952501959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PAT9104218) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA001182) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2025-04-14 |