| NPI | 1598423923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 10850) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 12482391-1206) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2025-01-07 |