| NPI | 1346409695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2523) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-00830) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2020-09-22 |