| NPI | 1285287755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SD 1498) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NE 2385) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2024-01-04 |