| NPI | 1033965462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 13388) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL 2369) |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2026-06-11 |