| NPI | 1558818567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5717) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9109747) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2023-11-14 |