| NPI | 1346924735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV 2991) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA064632) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2025-03-13 |