| NPI | 1780359059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA 8226) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA8226) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2026-05-04 |