| NPI | 1548368905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02132) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005159) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-02-25 |