| NPI | 1437695723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 13145) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT012604) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2025-09-16 |