| NPI | 1831087766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PR 2544-P.A.) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN-9614579) |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |