| NPI | 1598536526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 5357) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9118297) |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-11-15 |