| NPI | 1790573335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 3641) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0009680) |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2026-03-14 |