| NPI | 1831779974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110-007843) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0009801) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2025-10-10 |