| NPI | 1689666364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-00874) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 1218) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2024-11-15 |