| NPI | 1851783708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004841) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-004841) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2025-10-17 |