| NPI | 1164087482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA67097) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110010808) |
| 363A00000X Physician Assistant (Licence: DC PA031611) | |
| 363A00000X Physician Assistant (Licence: MD C0009744) | |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2026-04-23 |