| NPI | 1801160098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0005078) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 99050545A) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2016-12-15 |