| NPI | 1851354427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK PA1066) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 1066) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2010-04-28 |