| NPI | 1467810531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-06256) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NC 0010-06256) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2022-06-21 |