| NPI | 1508455247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 7469-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10003168A) |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2023-08-30 |