| NPI | 1295014918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 06998) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-02962) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2016-12-28 |