| NPI | 1427286749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02944) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0003991) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2024-01-15 |