| NPI | 1417131889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA01322) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: NM PA2010-0052) | |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2023-06-12 |