| NPI | 1568709384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA-002891L) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2024-08-23 |