| NPI | 1336196914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KS 15-01076) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-01076) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2025-12-15 |