| NPI | 1528628278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117852) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MA PA7735) |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2025-08-11 |