| NPI | 1295326882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2024038955) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA14271) |
| 363A00000X Physician Assistant (Licence: IL 085.010790) | |
| 363A00000X Physician Assistant (Licence: TN 6125) | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2025-02-07 |