| NPI | 1336179423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DC PA200001625) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: HI AMD203) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-01-09 |