| NPI | 1073338596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 8159-23) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WI 8159-23) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2025-02-25 |