| NPI | 1730345877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-01507) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1392) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2014-09-01 |