| NPI | 1265674014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 013048) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 13601) |
| 363A00000X Physician Assistant (Licence: FL PA9121461) | |
| 363A00000X Physician Assistant (Licence: MA PA95279) | |
| 363A00000X Physician Assistant (Licence: UT 14252720-1206) | |
| 363A00000X Physician Assistant (Licence: WA PA70062341) | |
| 363A00000X Physician Assistant (Licence: WI 8713-23) | |
| 363A00000X Physician Assistant (Licence: CO PA0009678) | |
| 363A00000X Physician Assistant (Licence: RI PA01877) | |
| 363A00000X Physician Assistant (Licence: NH 3601) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2026-03-03 |