| NPI | 1740910587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 5212) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-02680) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2023-12-07 |