| NPI | 1659761161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-585) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR P-T1501) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-10 |