| NPI | 1396615407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 6167) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 1240152) |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2026-04-28 |