| NPI | 1841449881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 005413) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 2564PA) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2022-01-25 |