| NPI | 1336827443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 10456) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PR 001696-P.A.) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2024-09-12 |