| NPI | 1740376425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 28377) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 7813-23) |
| 363A00000X Physician Assistant (Licence: MI 5601011737) | |
| 363A00000X Physician Assistant (Licence: KY PA729) | |
| 363A00000X Physician Assistant (Licence: IL 85.009745) | |
| 363A00000X Physician Assistant (Licence: PA MA065508) | |
| 363A00000X Physician Assistant (Licence: IN 10003236A) | |
| 363A00000X Physician Assistant (Licence: OH 50.001838) | |
| 363A00000X Physician Assistant (Licence: FL PA9115994) | |
| 363A00000X Physician Assistant (Licence: NJ 25MP00708700) | |
| 363A00000X Physician Assistant (Licence: RI PA01483) | |
| 363A00000X Physician Assistant (Licence: CA PA60980) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-04-25 |