| NPI | 1831800218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PACN68) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PR 2295PA) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL 0105383) | |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2025-07-16 |