| NPI | 1285915025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055133) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002721) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2014-02-11 |