| NPI | 1326468059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AR PA-560) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AR P-T1422) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2025-02-05 |