| NPI | 1598946006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0003652) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C03652) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2017-05-10 |