| NPI | 1942077938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: HI AMD-1427-0) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 10642) |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2025-01-24 |