| NPI | 1932694239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 10408) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 9188) |
| 363A00000X Physician Assistant (Licence: AK 212514) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2024-10-14 |