| NPI | 1982141362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: OK 2763) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2019-12-18 |