| NPI | 1780103432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10203) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-08-24 |