| NPI | 1417092248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 003563) |
| Additional Taxonomies | 2085R0001X (Licence: GA 3563) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2025-01-10 |