| NPI | 1316220049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-452) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AR PA-452) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2015-07-01 |