| NPI | 1922338920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 1090605) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 141935738906) |
| 363A00000X Physician Assistant (Licence: NC 001005454) | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2024-12-12 |