| NPI | 1841735388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: KS 15-02368) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MO 2020030556) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2024-07-18 |