NPI | 1962447862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ME PA629) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA629) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2023-09-05 |