| NPI | 1205381829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL 9109709) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2025-04-08 |