| NPI | 1659136935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5881) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN 5881) |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-16 |