| NPI | 1831429869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA054279) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002443) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2022-07-21 |