| NPI | 1477949899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KS 15-01797) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OK 2460) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2018-12-05 |