| NPI | 1427531938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA060407) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA004713) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2024-05-06 |