| NPI | 1477428191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PR 001897-P.A.) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PR 001897P.A.) |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-24 |