| NPI | 1336659309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2276) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2022-07-18 |