| NPI | 1861291924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0012282) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA066389) |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-10-29 |