| NPI | 1376731216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VI 016) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VI 016) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2015-12-23 |