| NPI | 1336809649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0008303) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2026-07-08 |