| NPI | 1780090894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AZ #MT-18093) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2026-04-13 |