| NPI | 1356941603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PR 795-P.A.) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PR 795-P.A.) |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |