| NPI | 1982001418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004173) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA60805210) |
| 363A00000X Physician Assistant (Licence: IL 085007428) | |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2024-06-25 |