| NPI | 1932333721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA3094) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC1029) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2024-05-15 |