| NPI | 1881844363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC TL1351) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 1351) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2022-05-02 |