| NPI | 1932297967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.930) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 003850) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-09-06 |