| NPI | 1336538529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2427) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 14878) |
| 363A00000X Physician Assistant (Licence: TX PA16893) | |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2024-03-27 |