| NPI | 1780227033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 3015) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007387) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2025-07-03 |