| NPI | 1073846648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0005457) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC TL1440) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2024-02-26 |