| NPI | 1346555315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0004271) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0004271) |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: MD C0004271) | |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2023-12-19 |