| NPI | 1285404947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 6695) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9118300) |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2026-01-15 |