| NPI | 1982386363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: MD C0009192) |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2025-07-10 |