| NPI | 1669621710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 1847) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR P-T0813) |
| Enumeration Date | 2008-09-13 |
| Last Update Date | 2024-04-09 |