| NPI | 1346799368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0011686) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058519) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2022-02-16 |