| NPI | 1780022731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA0000004858) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA22987) |
| 363A00000X Physician Assistant (Licence: AZ 7733) | |
| 363A00000X Physician Assistant (Licence: VA 0110008415) | |
| 363A00000X Physician Assistant (Licence: FL tppa234) | |
| 363A00000X Physician Assistant (Licence: MO 2022039654) | |
| 363A00000X Physician Assistant (Licence: NC 0010-12860) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2024-08-20 |