| NPI | 1356968325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-1961) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2021-09-21 |