| NPI | 1063925527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: PA MA064717) |
| Additional Taxonomies | 170300000X Genetic Counselor, MS (Licence: IL 246.000330) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2023-11-28 |