| NPI | 1336234863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC 1847) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0000102753) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-11-11 |