| NPI | 1326657560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9861) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 9861) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2021-07-15 |