| NPI | 1538186309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003458) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA AP1885) |
| 363A00000X Physician Assistant (Licence: MA PA1885) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2024-05-20 |