| NPI | 1881826394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AK 2390) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AK 498) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2015-01-29 |