| NPI | 1700287547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C05525) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2021-06-02 |