| NPI | 1295007342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 3046) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA464) |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2022-11-23 |