| NPI | 1396015772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-03223) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2024-05-08 |