| NPI | 1013149798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: AR PA383) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2023-10-04 |