| NPI | 1477116093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VI 0110009061) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2023-01-25 |