| NPI | 1093130486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2014004341) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2026-01-28 |