| NPI | 1912412560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 8672) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 8672) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2025-02-19 |