| NPI | 1568680437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 226588) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 1043) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2025-02-25 |