| NPI | 1548368897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 61420) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA865) |
| 363A00000X Physician Assistant (Licence: WA PA61524317) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-08-27 |