| NPI | 1497447817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0011926) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C09235) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2024-03-05 |