| NPI | 1952485336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 2858) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 850002556) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2016-08-10 |