| NPI | 1801529938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA006150) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA063719) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2023-11-23 |