| NPI | 1851556898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001001382) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 0010-01382) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2023-11-14 |