| NPI | 1437517877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 11071) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 106230) |
| Enumeration Date | 2016-01-31 |
| Last Update Date | 2025-05-30 |