| NPI | 1366878969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC 2452) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 7002) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2024-05-23 |