| NPI | 1689113813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MO 2017003654) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MO 2017003654) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2018-04-03 |