| NPI | 1740238021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 0607) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 3255) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-12-15 |