| NPI | 1093226557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA060142) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2019-09-03 |