| NPI | 1578954616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-608) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR P-T1520) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2023-01-18 |