| NPI | 1851780233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA6309) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 003240) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2020-10-22 |