| NPI | 1831107713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA921) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA200002536) |
| 363A00000X Physician Assistant (Licence: FL PA9112003) | |
| 363A00000X Physician Assistant (Licence: VA 0110004685) | |
| 363A00000X Physician Assistant (Licence: TX PA09251) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2026-06-03 |