| NPI | 1750859831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.2007) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 3830) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2022-06-16 |