| NPI | 1235948753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 8242) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 8242-23) |
| Enumeration Date | 2024-12-31 |
| Last Update Date | 2025-02-13 |