| NPI | 1316433006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8460) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-08199) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2021-07-13 |