| NPI | 1396142717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AL PA1009) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2022-06-10 |