| NPI | 1154915197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9633) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA210788) |
| Enumeration Date | 2021-02-20 |
| Last Update Date | 2025-06-02 |