| NPI | 1376402941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN 7140) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MS 01013) |
| Enumeration Date | 2026-01-20 |
| Last Update Date | 2026-07-17 |