| NPI | 1598249799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA203178) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007037) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2021-04-14 |