| NPI | 1427349885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MS MS00195) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 1962) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2020-06-09 |