| NPI | 1871581595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ 12514) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2022-12-27 |