| NPI | 1235417734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA054952) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA002671) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2018-01-24 |