| NPI | 1831130194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA584) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN TN584) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2025-02-23 |