| NPI | 1275995656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055.0031711) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 6340) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-10-30 |