| NPI | 1063231496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MS 00834) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 6585) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2026-04-23 |