| NPI | 1699320374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C09191) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2025-04-29 |