| NPI | 1437992252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-15189) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 5905) |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2025-07-08 |