| NPI | 1740379825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL PA9103517) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-06-25 |