| NPI | 1295591006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: HI AMD-1433-00) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 363AS0400X Physician Assistant Surgical (Licence: HI AMD-1433-00) | |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2025-08-08 |