| NPI | 1477100766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4824) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 3286) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2023-01-26 |