| NPI | 1881642197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60342285) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2019015462) |
| 363A00000X Physician Assistant (Licence: UT 10130700-1206) | |
| 363A00000X Physician Assistant (Licence: AZ 5886) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2022-07-08 |