| NPI | 1831640770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA059857) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MX040035) |
| 363AM0700X Physician Assistant, Medical (Licence: PA OA004509) | |
| 363AM0700X Physician Assistant, Medical (Licence: PA MR4937922) | |
| Enumeration Date | 2016-10-15 |
| Last Update Date | 2025-07-09 |