| NPI | 1720256290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK PA1734) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK APA1734) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2024-02-15 |