| NPI | 1811073216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA00903) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 10952) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2025-03-20 |