| NPI | 1609151786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2091) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: AL PA.892) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2016-12-14 |