| NPI | 1437911005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 3046) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 124022) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |