| NPI | 1295131415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AK PADA1261) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK unavailable) |
| 363A00000X Physician Assistant (Licence: AK PADA1261) | |
| Enumeration Date | 2014-11-16 |
| Last Update Date | 2023-11-13 |