| NPI | 1144535279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA054462) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA002508) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2023-04-06 |