| NPI | 1235728015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5506) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: 1178143) |
| 363A00000X Physician Assistant (Licence: FL 9113828) | |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2023-06-21 |