| NPI | 1780977645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0001098) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055865) |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: MI 5601006036) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2023-04-12 |