| NPI | 1598016073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA181860) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN PA2233) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2023-04-26 |