| NPI | 1750614608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 00097471) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 00097471) |
| 363A00000X Physician Assistant (Licence: OH 363AM0700X) | |
| 363A00000X Physician Assistant (Licence: KY TC371) | |
| 363A00000X Physician Assistant (Licence: IN 10003850A) | |
| 363AM0700X Physician Assistant, Medical (Licence: SD 0698) | |
| 363A00000X Physician Assistant (Licence: WI 1448-023) | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical (Licence: OH 50.003856) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2025-12-11 |