| NPI | 1508171943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 1852) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN PA1852) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2023-04-07 |