| NPI | 1245810670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA063715) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C50011493) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2024-10-16 |