| NPI | 1073289781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA062863) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA005808) |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2023-10-18 |