| NPI | 1194350678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4101) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9112956) |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2021-05-17 |