| NPI | 1417269424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 2670-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2670) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2022-03-02 |