| NPI | 1801331426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 120167) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085.009658) |
| 363A00000X Physician Assistant (Licence: MD C06365) | |
| 363A00000X Physician Assistant (Licence: GA 8990) | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2024-04-18 |