| NPI | 1962190439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 337660) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-07-25 |