| NPI | 1023594371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7201) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: 1153367) |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2019-02-18 |