| NPI | 1033223599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 1314) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA-305) |
| 363A00000X Physician Assistant (Licence: MS PA00176) | |
| 363A00000X Physician Assistant (Licence: TN 1314) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2025-02-20 |