| NPI | 1003095886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 5568) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-06614) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2025-08-05 |