| NPI | 1124325295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA 2316) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PA-429) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2022-03-31 |