| NPI | 1518472109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2457) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2024-05-22 |