| NPI | 1730878539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0009736) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical (Licence: VA 0110011023) | |
| 363AM0700X Physician Assistant, Medical (Licence: DC PA20002118) | |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2025-06-09 |