| NPI | 1447884101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14040) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA8017) |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2024-06-04 |