| NPI | 1780224378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 8884) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 153672) |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2022-09-21 |