| NPI | 1285305771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 11444) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0011639) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2025-11-14 |