| NPI | 1578263661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11437) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA.2639) |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2025-08-21 |