| NPI | 1689180341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 6999) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 6999) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2024-10-01 |