| NPI | 1821029877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA0000000877) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN PA877) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-12-13 |