| NPI | 1689328833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0008351) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD C0008351) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-11 |