| NPI | 1265685754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 2358) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2358-23) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: WI 2358-23) | |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2024-03-13 |