| NPI | 1215307459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3498) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110-005086) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2025-05-28 |