| NPI | 1295778504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA19797) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA 00346) |
| 363A00000X Physician Assistant (Licence: NY 012972) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2016-05-19 |