| NPI | 1184486235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0012199) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0009759) |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2025-01-13 |