| NPI | 1548481203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0002817) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA PA00634) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-03-07 |