| NPI | 1437913381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14007) |
| Additional Taxonomies | 208VP0000X (Licence: NC 0010-14007) |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2025-12-16 |