| NPI | 1285598524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PR 2978) |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL 25-283) |
| 363AM0700X Physician Assistant, Medical (Licence: PR 2978-P.A.) | |
| Enumeration Date | 2025-12-11 |
| Last Update Date | 2026-05-18 |