| NPI | 1811389125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 2398) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK 1262) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2024-09-20 |