| NPI | 1356471767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-10190) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 003302) |
| 363A00000X Physician Assistant (Licence: MA PA3830) | |
| 363A00000X Physician Assistant (Licence: NM PA2016-0047) | |
| 363A00000X Physician Assistant (Licence: VA 0110-004577) | |
| 363A00000X Physician Assistant (Licence: TX PA05207) | |
| 363A00000X Physician Assistant (Licence: UT 11181292-1206) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-02-01 |