| NPI | 1346797255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 1511) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-06693) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2023-05-25 |