| NPI | 1881220762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110010794) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR010334) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2025-03-13 |