| NPI | 1821458241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-1352) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA176657) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2022-07-21 |