| NPI | 1699390351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA061601) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9119664) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2026-01-01 |