| NPI | 1942572300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055398) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002806) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |