| NPI | 1134448152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4782) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00236700) |
| 363A00000X Physician Assistant (Licence: MN 11076) | |
| 363A00000X Physician Assistant (Licence: ME LT20089) | |
| 363A00000X Physician Assistant (Licence: FL PA9111002) | |
| 363A00000X Physician Assistant (Licence: ME PA405) | |
| 363A00000X Physician Assistant (Licence: NH EL04722) | |
| 363A00000X Physician Assistant (Licence: MA PA-TF-0179) | |
| 363A00000X Physician Assistant (Licence: CA 54272) | |
| 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00236700) | |
| 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00236700) | |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2022-03-16 |