| NPI | 1992794523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 000923) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: IA 000923) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2022-07-21 |