| NPI | 1841888773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL5559) |
| 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant (Licence: FL 201116) | |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2025-09-23 |