| NPI | 1639506553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0000912) |
| 363AM0700X Physician Assistant, Medical (Licence: DE C5-0000912) | |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2025-06-04 |