| NPI | 1548884380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-11311) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2020-06-06 |
| Last Update Date | 2024-09-16 |