| NPI | 1881987949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053609) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2014-08-01 |