| NPI | 1447092192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: SC 5448) |
| 225400000X Rehabilitation Practitioner (Licence: SC 5448) | |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2025-08-28 |