| NPI | 1134806763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9705) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 9705) |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2024-05-08 |