| NPI | 1467603332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5540) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY TC589) |
| 363A00000X Physician Assistant (Licence: IN 10001806A) | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2024-06-12 |