| NPI | 1306203682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT 100670) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2025-04-10 |