| NPI | 1073850822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OK 2237) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OK APA2237) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2024-03-01 |