| NPI | 1033237722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 005037) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0002820) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2021-08-17 |