| NPI | 1699920124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0004227) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053634) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2016-07-11 |