| NPI | 1699483339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PT2026-015) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR 126147) |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2026-03-08 |