| NPI | 1003589383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 8716) |
| Enumeration Date | 2021-07-31 |
| Last Update Date | 2023-08-01 |