| NPI | 1720813587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PR 002239-PA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 255309) |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |