| NPI | 1144867946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110010005) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 4628) |
| 363A00000X Physician Assistant (Licence: FL PA9120147) | |
| 363A00000X Physician Assistant (Licence: IN 10005195A) | |
| Enumeration Date | 2019-11-30 |
| Last Update Date | 2026-02-10 |