| NPI | 1982980397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2820-023) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2820-23) |
| Enumeration Date | 2011-10-30 |
| Last Update Date | 2024-02-26 |