| NPI | 1477268266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA ML7941734) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0011873) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-05-17 |