| NPI | 1841841590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT MED-PAC-LIC-80060) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT 1168101) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2022-03-21 |