| NPI | 1144692328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4599) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: TN 4599) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 4599) | |
| 363AS0400X Physician Assistant, Surgical (Licence: TN 4599) | |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2025-10-13 |