| NPI | 1841331261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055.0031483) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0002231) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2025-08-20 |