| NPI | 1386930964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 6160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 6160) |
| 363AS0400X Physician Assistant Surgical (Licence: GA 6160) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2024-06-11 |