| NPI | 1326708900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PR 000156-P.A) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PR 000156-P.A.) |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2021-12-23 |