| NPI | 1942785118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 46075) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA14906) |
| 363A00000X Physician Assistant (Licence: AR PA-806) | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2026-02-16 |