| NPI | 1285753517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0002806) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DE C5-0000428) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-10-29 |