| NPI | 1245537067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1581) |
| Additional Taxonomies | 174400000X Specialist (Licence: NE 1581) |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2022-02-24 |