| NPI | 1740324003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA002456L) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA MA002456L) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2022-10-17 |