| NPI | 1851457212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NV PA2859) |
| 363AM0700X Physician Assistant, Medical (Licence: TX PA01247) | |
| 363AM0700X Physician Assistant, Medical (Licence: UT 13340978-1206) | |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9119476) | |
| 363AM0700X Physician Assistant, Medical (Licence: CO PA0008841) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2025-02-28 |