| NPI | 1326480427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA003485) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA056228) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2020-11-17 |