| NPI | 1316402282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11251) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA56527) |
| 363A00000X Physician Assistant (Licence: IL 085-007221) | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2025-03-31 |