| NPI | 1306110069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056689) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA002824) |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2018-07-06 |