| NPI | 1346040870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WY N8P9YZ5) |
| Enumeration Date | 2025-03-14 |
| Last Update Date | 2025-03-14 |