| NPI | 1295036309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA054712) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA002559) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2022-02-24 |