| NPI | 1730172503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA809) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: TN PA809) |
| 363A00000X Physician Assistant (Licence: TN 809) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2024-08-19 |