| NPI | 1942442348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0004277) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-01718) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2014-05-08 |