| NPI | 1346283975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 249) |
| 363A00000X Physician Assistant (Licence: AR PA-968) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-05-24 |