| NPI | 1962727487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA15324) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC TL1550) |
| 363AM0700X Physician Assistant, Medical (Licence: CA PA60436) | |
| 363AM0700X Physician Assistant, Medical (Licence: NC 001012262) | |
| 363AM0700X Physician Assistant, Medical (Licence: NM PA20240118) | |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA70012874) | |
| 363AM0700X Physician Assistant, Medical (Licence: AZ 10563) | |
| 363AM0700X Physician Assistant, Medical (Licence: OK 5333) | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2025-07-28 |