| NPI | 1649417338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WV 01391) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 1391) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2017-03-20 |