| NPI | 1851889976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MS PA00435) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN 3541) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2024-04-21 |