| NPI | 1609385194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA61816) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9116833) |
| 363A00000X Physician Assistant (Licence: MO 2023021119) | |
| 363A00000X Physician Assistant (Licence: TN 0000003458) | |
| 363A00000X Physician Assistant (Licence: GA 11796) | |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2025-01-17 |