| NPI | 1073810263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AR PA-924) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02681) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2020-08-13 |