| NPI | 1720174535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA15632) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110005261) |
| 363A00000X Physician Assistant | |
| 363A00000X Physician Assistant (Licence: KY PA901) | |
| 363A00000X Physician Assistant (Licence: IN 99066589A) | |
| 363A00000X Physician Assistant (Licence: IN 10001825B) | |
| 363A00000X Physician Assistant (Licence: IN 10001825A) | |
| 363AM0700X Physician Assistant, Medical (Licence: KY PA901) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-08-18 |