| NPI | 1235718735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 184346) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-04-03 |
| Last Update Date | 2024-01-31 |