| NPI | 1356824114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7171) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA 60912915) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2024-02-15 |