| NPI | 1992474340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 8743) |
| 363A00000X Physician Assistant (Licence: AZ 8743) | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2022-09-06 |