| NPI | 1861933145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02372) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 2113) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-02-22 |