| NPI | 1598103111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110004256) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2017-11-21 |