| NPI | 1013377092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA2977) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 7907) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2021-09-17 |