| NPI | 1265897425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 025820) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT MED-PAC-LIC-129018) |
| 363A00000X Physician Assistant (Licence: CA PA58757) | |
| 363A00000X Physician Assistant (Licence: AK 168165) | |
| 363A00000X Physician Assistant (Licence: ME PA2647) | |
| 363A00000X Physician Assistant (Licence: IL 085.010307) | |
| 363A00000X Physician Assistant (Licence: IA 124857) | |
| 363A00000X Physician Assistant (Licence: MN 12032) | |
| 363A00000X Physician Assistant (Licence: PA MA062232) | |
| 363AM0700X Physician Assistant, Medical | |
| 363A00000X Physician Assistant (Licence: WA PA.PA.61432810) | |
| 363A00000X Physician Assistant (Licence: TN 3212) | |
| 363AM0700X Physician Assistant, Medical (Licence: TN 3212) | |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2024-06-12 |