| NPI | 1497239511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.1425) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9111549) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2019-02-21 |