| NPI | 1013370527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MS PA00548) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-06237) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2026-03-27 |