| NPI | 1356119200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA065415) |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-05-20 |