| NPI | 1437308301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4318) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 12203277-1206) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2023-03-22 |