| NPI | 1538111539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 004665) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 58593) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 026102-01) | |
| 363AM0700X Physician Assistant, Medical (Licence: FL 9117305) | |
| 363AM0700X Physician Assistant, Medical (Licence: DC 200001685) | |
| 363AM0700X Physician Assistant, Medical (Licence: IA 124154) | |
| 363AM0700X Physician Assistant, Medical (Licence: WI 1131-23) | |
| 363AM0700X Physician Assistant, Medical (Licence: GA 004665) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-06-06 |