| NPI | 1558486035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA263) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 13386) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-06-13 |