| NPI | 1427793025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02665) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: MO B-64544) |
| 363A00000X Physician Assistant (Licence: MO 2021034610) | |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2024-02-15 |