| NPI | 1245874775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02986) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 56845) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2024-11-20 |