| NPI | 1124458930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD588) |
| Additional Taxonomies | 174H00000X Health Educator |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2022-01-27 |