| NPI | 1831930536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA.2570) |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2025-08-27 |