| NPI | 1346479268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA053929) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA TMA052054) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2021-09-10 |