| NPI | 1265045199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4561) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL 1705) |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2025-03-04 |