| NPI | 1265144810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0011980) |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2023-10-30 |