| NPI | 1225099773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110002394) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 102771) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2018-03-17 |