| NPI | 1295236438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC MPA.2946) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-10171) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2021-02-24 |