| NPI | 1295170991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 6795) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 1110409) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2022-11-22 |