| NPI | 1003041898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 324081) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110002949) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2024-11-13 |