| NPI | 1841716909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE c5-0001220) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-005823) |
| Enumeration Date | 2017-08-20 |
| Last Update Date | 2020-10-05 |