| NPI | 1033731674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02392) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA2880) |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2026-02-10 |