| NPI | 1548731235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3602) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA56214) |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2024-12-23 |