| NPI | 1164279345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14813) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-05-04 |
| Last Update Date | 2024-11-25 |