| NPI | 1427920669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA066866) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA007360) |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-11-07 |