| NPI | 1598064149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003153) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 8647) |
| 363A00000X Physician Assistant (Licence: CA 58490) | |
| 363A00000X Physician Assistant (Licence: FL PA9115328) | |
| 363A00000X Physician Assistant (Licence: TX PA14389) | |
| 363A00000X Physician Assistant (Licence: GA 11899) | |
| 363A00000X Physician Assistant (Licence: MO 2020031690) | |
| 363A00000X Physician Assistant (Licence: NV PA2504) | |
| 363A00000X Physician Assistant (Licence: WA PA61097382) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2024-01-29 |