| NPI | 1124788815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-03081) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 4707) |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2025-10-13 |