| NPI | 1487164497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 8591) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 2213) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2021-12-17 |