| NPI | 1649746025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC MPA.3061) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 3061) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2024-03-21 |