| NPI | 1841616604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-936) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA.200667) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2023-03-06 |