| NPI | 1831530013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AL PA.1141) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2016-05-04 |