| NPI | 1184000978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA PA5541) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2025-01-10 |