| NPI | 1285976951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 006763) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2019-05-24 |