| NPI | 1497427702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA OA006297) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA062750) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2023-09-19 |