| NPI | 1447437033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: LA PA.200701) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110002689) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA054793) | |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2023-03-07 |