| NPI | 1396463477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 5459) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 207Q00000X Family Medicine (Licence: OK 5459) | |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2025-05-07 |