| NPI | 1548582711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM PA2011-0046) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00007777) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2017-02-10 |