| NPI | 1194913913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 2140-23) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: WI 2140-023) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2019-01-24 |