| NPI | 1932437662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC 2054) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0004103) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2022-03-31 |