| NPI | 1740321207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5333) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C03462) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2024-06-10 |