| NPI | 1326312877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: HI AMD-667) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD c0004653) |
| 363AM0700X Physician Assistant, Medical (Licence: VA 0110003817) | |
| 363AM0700X Physician Assistant, Medical (Licence: DC PA030788) | |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2016-02-24 |