| NPI | 1619179132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 102472) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 102472) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2022-08-23 |