| NPI | 1336630326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2918) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA15620) |
| 363A00000X Physician Assistant (Licence: OR PA207994) | |
| 363A00000X Physician Assistant (Licence: WA PA.PA.61530948) | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2024-07-09 |