| NPI | 1255061735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AL PA.2419) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA063530) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2024-08-02 |