| NPI | 1275814063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0993) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 2142) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2015-01-27 |