| NPI | 1730434044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WV 1723) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA057901) |
| 363AM0700X Physician Assistant, Medical (Licence: OH 50.003558) | |
| 363AM0700X Physician Assistant, Medical (Licence: WV 575) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2023-12-28 |