| NPI | 1144730342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0012109) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0006603) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2025-08-19 |