| NPI | 1326326935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA525) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA1926) |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2022-02-10 |