| NPI | 1932913282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO IA-0007991188) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-03135) |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-09-18 |