| NPI | 1093873697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 2053) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 796) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2023-08-28 |