| NPI | 1952535163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 05288) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 5288) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2014-09-23 |