| NPI | 1235171414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NV PA3253) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 003335) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2025-11-04 |