| NPI | 1538550801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4524) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1890) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2023-05-10 |