| NPI | 1750810875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0006505) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2019-06-25 |