| NPI | 1457986853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC MPA.3501.PA) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-09908) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2026-04-06 |