| NPI | 1194224949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 4774) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2017004542) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2022-09-12 |