| NPI | 1134353121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0002136) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PDO11856) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2011-06-14 |