| NPI | 1750156501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0011966) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA064897) |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-22 |