| NPI | 1013435718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 6285) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN 6637) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2024-12-19 |