| NPI | 1437484011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04354) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA200309) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2013-12-09 |