| NPI | 1316216807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC PA1689) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2012-05-08 |