| NPI | 1699537902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: AR PA1254) | |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-04-01 |