| NPI | 1659449692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 0710) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA17717) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2015-12-21 |