| NPI | 1356576987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056267) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003095) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2024-08-16 |