| NPI | 1689531204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9121233) |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-02-03 |