| NPI | 1295486223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14340) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2025-04-11 |