| NPI | 1245949056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN 5365) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2023-05-15 |