| NPI | 1467843011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 6144) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV PA1586) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2024-10-07 |