| NPI | 1013157569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: GA 5543) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 5543) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2024-07-30 |