| NPI | 1497493431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-1093) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2023032439) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2023-08-10 |