| NPI | 1437673662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06529) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2022-12-29 |