| NPI | 1396073136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 3320-23) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 127852-121) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2018-02-14 |