| NPI | 1295248805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 029170) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601011450) |
| 363A00000X Physician Assistant (Licence: MD C06628) | |
| 363A00000X Physician Assistant (Licence: NM PA2022-0126) | |
| 363A00000X Physician Assistant (Licence: WA 61021047) | |
| 363A00000X Physician Assistant (Licence: OH 50.007894RX) | |
| 363A00000X Physician Assistant (Licence: IL 085.009502) | |
| 363A00000X Physician Assistant (Licence: PA MA064853) | |
| 363A00000X Physician Assistant (Licence: FL PA9117452) | |
| 363A00000X Physician Assistant (Licence: WI 7390-23) | |
| 363A00000X Physician Assistant (Licence: IN 10004125A) | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2023-11-11 |