| NPI | 1922279652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003643) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9220068) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2011-08-08 |