| NPI | 1386846525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC1060) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1494) |
| 363A00000X Physician Assistant (Licence: KS 15-02066) | |
| 363A00000X Physician Assistant (Licence: WY PA598) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2023-12-20 |