| NPI | 1568408326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA A10249) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA.A10249) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-06-01 |