| NPI | 1821860636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 5106) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OK 5106) |
| 363AM0700X Physician Assistant, Medical (Licence: OK 5106) | |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2026-05-20 |