| NPI | 1144944786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 11483) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC MPA.4615) |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2023-04-20 |