| NPI | 1962986877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC 5649) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 37849) |
| 363A00000X Physician Assistant (Licence: SC 5649) | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2025-01-22 |