| NPI | 1699669838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0012210) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA066421) |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |