| NPI | 1821495417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 2417) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 2417) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2018-03-30 |