| NPI | 1184389868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 6299) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL 1885) |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2025-03-24 |