| NPI | 1427561174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0001330) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA060991) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2024-06-25 |