| NPI | 1245547405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 6191) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-02537) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2021-01-22 |