| NPI | 1447469556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02278) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 5743) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2018-01-17 |