| NPI | 1023635380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2020027179) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 1502351) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2024-06-18 |