| NPI | 1669155933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117719) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA007470) |
| 363A00000X Physician Assistant (Licence: PA MA066595) | |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2025-09-26 |