| NPI | 1467969196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 1222) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL 1842) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-04-16 |