| NPI | 1346400975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MT 147423) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: HI AMD-1218) |
| 363A00000X Physician Assistant (Licence: CO PA.0002659) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2026-03-24 |