| NPI | 1477818672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4950) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA18005) |
| 363A00000X Physician Assistant (Licence: NC 0010-14091) | |
| 363A00000X Physician Assistant (Licence: MA PA100161) | |
| 363A00000X Physician Assistant (Licence: GA 11823) | |
| 363A00000X Physician Assistant (Licence: WA PA61373993) | |
| 363A00000X Physician Assistant (Licence: CA PA22489) | |
| 363A00000X Physician Assistant (Licence: CO PA.0007629) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2024-07-05 |