| NPI | 1851750848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001983A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.004460) |
| 363A00000X Physician Assistant (Licence: CA PA53375) | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2023-05-05 |