| NPI | 1043894025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA9114110) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 4909) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2023-08-08 |