| NPI | 1588330948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008194) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2023-12-12 |