| NPI | 1497519946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 32618) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC MPA.5210.PA) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2025-02-03 |