| NPI | 1821550815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 2960) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL 1471) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2025-03-18 |