| NPI | 1306326897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3064) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA2021-0010) |
| 363A00000X Physician Assistant (Licence: AZ 10272) | |
| 363A00000X Physician Assistant (Licence: VA 0110009327) | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2024-06-19 |