| NPI | 1184348807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SD 1428) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC0970) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2023-12-18 |