| NPI | 1295374981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0012113) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0007707) |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2024-10-03 |