| NPI | 1275119356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0011595) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA101064) |
| 363A00000X Physician Assistant (Licence: PA MA062058) | |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2025-03-26 |