| NPI | 1255997086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4173) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110008946) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2024-11-12 |