| NPI | 1780008706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2464) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID 5781517) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2026-09-01 |