| NPI | 1326869777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA066150) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA007059) |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-18 |