| NPI | 1013080464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL 9113754) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0000655) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-12-29 |