| NPI | 1033975404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5780) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9117964) |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-05-08 |