| NPI | 1932356896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA053456) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA002291) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2017-02-28 |