| NPI | 1366576563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 001478) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IA 001478) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2025-09-05 |