| NPI | 1447487186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2327) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-01856) |
| Enumeration Date | 2009-06-21 |
| Last Update Date | 2023-05-12 |