| NPI | 1891197406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5778) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 128102) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2024-08-26 |