| NPI | 1225498074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-652) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PT2016-022) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-04-08 |