| NPI | 1437771607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AR PA-1198) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NV PA2521) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2024-06-11 |