| NPI | 1285818682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT MED-PAC-LIC-19243) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2024-08-01 |