| NPI | 1194976381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02010) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 012819) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2019-01-02 |