| NPI | 1427407220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA058219) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003793) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-01-30 |