| NPI | 1558641506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0000820) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2013-08-01 |