| NPI | 1891940698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 5271) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA2306) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA 9104996) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2024-09-12 |