| NPI | 1447527205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1742) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC TL1742) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2020-11-17 |