| NPI | 1881939213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C08520) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2025-01-02 |