| NPI | 1205916806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR 731) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK P52428) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-02-26 |