| NPI | 1467653790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 6176) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA95315) |
| 363A00000X Physician Assistant (Licence: OH 50.007998rx) | |
| 363A00000X Physician Assistant (Licence: FL PA9113088) | |
| 363A00000X Physician Assistant (Licence: TX PA15950) | |
| 363A00000X Physician Assistant (Licence: WA PA61581028) | |
| 363A00000X Physician Assistant (Licence: DC PA031857) | |
| 363A00000X Physician Assistant (Licence: TN 5079) | |
| 363A00000X Physician Assistant (Licence: NC 0010-00910) | |
| 363A00000X Physician Assistant (Licence: GA 10114) | |
| 363A00000X Physician Assistant (Licence: IL 085010322) | |
| 363A00000X Physician Assistant (Licence: MD C0007799) | |
| 363A00000X Physician Assistant (Licence: IN 10004131A) | |
| 363A00000X Physician Assistant (Licence: VA 0110007066) | |
| 363A00000X Physician Assistant (Licence: NY 030535) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2025-11-13 |