| NPI | 1649628751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC PA3968) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 3968) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2023-03-17 |