| NPI | 1467019018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3227) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC TL3227) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2024-07-02 |