| NPI | 1932262110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD c003058) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 9722) |
| 363A00000X Physician Assistant (Licence: DC PA031138) | |
| 363A00000X Physician Assistant (Licence: NC 0010-10178) | |
| 363A00000X Physician Assistant (Licence: TX PA17323) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-01-11 |