| NPI | 1164077780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 3051) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 9888) |
| 363A00000X Physician Assistant (Licence: NM PA2023-0216) | |
| 363A00000X Physician Assistant | |
| 363A00000X Physician Assistant (Licence: NE 2927) | |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2024-06-04 |