| NPI | 1285037697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-05886) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0005562) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2021-06-07 |