| NPI | 1538028733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID 3181407) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2026-01-21 |
| Last Update Date | 2026-04-06 |