| NPI | 1881936797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2013008754) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA-617) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2024-01-08 |