| NPI | 1346523826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001000187) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 001000187) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2025-08-05 |