| NPI | 1356878003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 027546) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61437325) |
| 363A00000X Physician Assistant (Licence: NC 0010-12896) | |
| 363A00000X Physician Assistant (Licence: SC 4794) | |
| 363A00000X Physician Assistant (Licence: GA 11634) | |
| 363A00000X Physician Assistant (Licence: TX PA16305) | |
| 363A00000X Physician Assistant (Licence: VA 0110005785) | |
| 363A00000X Physician Assistant (Licence: CO PA.0007805) | |
| 363A00000X Physician Assistant (Licence: VA 110005785) | |
| 363A00000X Physician Assistant (Licence: AZ 9080) | |
| 363L00000X Nurse Practitioner (Licence: NV PA2743) | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2024-03-01 |