| NPI | 1396041216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 006052) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-05556) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2025-10-21 |