| NPI | 1033283205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA050842) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA002114) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2016-10-13 |