| NPI | 1801985379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA Ma-051232) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MAO51232) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-05-02 |