| NPI | 1487027710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA003701) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058008) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2019-12-19 |