| NPI | 1467081745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110010000) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0007494) |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2025-09-11 |