| NPI | 1326056151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA OA003249) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA ma001207l) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2022-09-22 |