| NPI | 1891101929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110011923) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA056903) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2026-08-07 |