| NPI | 1922157346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MA002549L) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2021-03-04 |