| NPI | 1942502992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DE C5-0000735) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0009749) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2025-01-13 |