| NPI | 1649947383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4744) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-08-29 |
| Last Update Date | 2023-09-13 |