| NPI | 1225066426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12283) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA050980) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-08-12 |