| NPI | 1124575253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-1247) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA 303578) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2024-05-06 |