| NPI | 1477849339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA16639) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA PA4933) |
| 363AM0700X Physician Assistant, Medical (Licence: MI 5601007846) | |
| 363AM0700X Physician Assistant, Medical (Licence: MN 13026) | |
| 363AM0700X Physician Assistant, Medical (Licence: NC 0010-08972) | |
| 363AM0700X Physician Assistant, Medical (Licence: IL 085004729) | |
| 363AM0700X Physician Assistant, Medical (Licence: NY 23014386) | |
| 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00507400) | |
| 363AM0700X Physician Assistant, Medical (Licence: NY 014386) | |
| 363AM0700X Physician Assistant, Medical (Licence: VA 0110-005479) | |
| 363AM0700X Physician Assistant, Medical (Licence: WI 4653-23) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2021-02-02 |