| NPI | 1508782061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PR 3212-P.A.) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PR 3212P.A.) |
| Enumeration Date | 2026-06-27 |
| Last Update Date | 2026-06-27 |