| NPI | 1215978044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 509) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 8826) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2016-04-01 |