| NPI | 1366760910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10001272a) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001272a) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 012997-2) | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2018-08-27 |