| NPI | 1427116102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 5362) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 3790) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2025-02-19 |