| NPI | 1952460057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NM 99-PA28) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: NM 99PA28) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2022-10-11 |