| NPI | 1851057277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 1758) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA.1758) |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2023-06-28 |