| NPI | 1366695736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AK 833) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AK Pending) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2025-04-25 |