| NPI | 1588360176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA214820) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-04-28 |