| NPI | 1598404055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 12607) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-12344) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2025-04-17 |