| NPI | 1023424785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA004534) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA056926) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2021-11-16 |