| NPI | 1467798165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA002979) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA0055938) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2019-02-05 |