| NPI | 1679587562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.A10382) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: LA PA10382RX) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-07-11 |