| NPI | 1750520664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-01679) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-01679) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2016-06-08 |