| NPI | 1588915003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5183) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 5183) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2013-12-19 |