| NPI | 1558683482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 9178) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 7057360001) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 70349500001) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 7209350001) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 7046960001) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 704516001) | |
| 363A00000X Physician Assistant (Licence: NC 0010-02208) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 7047150001) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 7939960001) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 7629170001) | |
| 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02208) | |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2023-03-01 |