| NPI | 1992346993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 246215) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AK MA7450858) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2026-03-30 |