| NPI | 1356932867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3879) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GU 129) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2024-06-26 |