| NPI | 1447464243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 004352) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 4352) |
| 363A00000X Physician Assistant (Licence: GA 004352) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2014-02-12 |