| NPI | 1851622237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: TN 2457) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 363AM0700X Physician Assistant Medical (Licence: GA 006735) | |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2024-01-05 |