| NPI | 1366836082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: NH 1083) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2020-06-17 |