| NPI | 1427499870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: PA MA059680) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: MD C0005094) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2023-03-28 |