| NPI | 1801014329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 008486) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 363A00000X Physician Assistant (Licence: VA 0110006226) | |
| Enumeration Date | 2007-04-22 |
| Last Update Date | 2021-01-29 |