| NPI | 1295107597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-005125) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110005125) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2018-07-09 |