| NPI | 1396162640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA OA003886) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: PA OC013274) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2018-06-26 |