| NPI | 1003986837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0000555) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: DE C5-0000555) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2025-04-29 |