| NPI | 1316366289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10575) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA.962) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2022-11-16 |