| NPI | 1649955725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5514) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 4801) |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2024-05-17 |