| NPI | 1932657038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-12356) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 9201) |
| 363A00000X Physician Assistant | |
| 363A00000X Physician Assistant (Licence: IL 085.005963) | |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2024-08-13 |