| NPI | 1922717701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 7833-23) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9116888) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2024-07-11 |