| NPI | 1437446986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0005661) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110003615) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2015-07-29 |