| NPI | 1881291953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3651) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 10026) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2024-10-31 |