| NPI | 1477915718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11982) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MS PA00285) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2025-08-08 |