| NPI | 1932411238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 6170) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA.200355) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2019-11-06 |