| NPI | 1144337940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MT MED-PAC-LIC-15475) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 12764) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2026-06-22 |