| NPI | 1417431545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA213291) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KS 15-02126) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2023-04-21 |