| NPI | 1497207401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA060005) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OS004570) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2018-08-16 |