| NPI | 1033462569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: HI AMD-529) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 5287) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2014-03-06 |