| NPI | 1689740508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AK 752) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AK 1816) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2022-03-23 |