| NPI | 1043656465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3683) |
| Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: TN 3683) |
| 363AS0400X Physician Assistant, Surgical (Licence: TN 3683) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2023-08-14 |