| NPI | 1942296967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA051011) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MA051011) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2024-08-30 |