| NPI | 1649726506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C06744) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2018-06-06 |