| NPI | 1487137147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 1831) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA 310459) |
| 363A00000X Physician Assistant (Licence: VA 0110011075) | |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2025-11-12 |