| NPI | 1740649706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 029163) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 2956) |
| 363A00000X Physician Assistant (Licence: IL 085009420) | |
| 363A00000X Physician Assistant (Licence: MI 5601011446) | |
| 363A00000X Physician Assistant (Licence: OH 50007919RX) | |
| 363A00000X Physician Assistant (Licence: IN 10003858A) | |
| 363A00000X Physician Assistant (Licence: PA MA064574) | |
| 363A00000X Physician Assistant (Licence: WI 752623) | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2024-10-23 |