| NPI | 1962781062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055.0031826) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA1295) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2025-09-04 |