| NPI | 1962912428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 3542) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: ME PA2023) |
| 363A00000X Physician Assistant (Licence: ME PA2023) | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2025-09-30 |