| NPI | 1952349649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-11138) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 2708) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2021-05-04 |