| NPI | 1598452690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 4206) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 5149) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-06-09 |