| NPI | 1710181714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200255) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9110923) |
| 363A00000X Physician Assistant (Licence: AL PA.1523) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2019-12-16 |