| NPI | 1023046380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC PA930) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 930) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2023-10-31 |