| NPI | 1881373983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 5682) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC PA4780) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-10-27 |