| NPI | 1134470529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2622) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA853) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2024-04-18 |