| NPI | 1851985758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 2188) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 4364) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2023-06-21 |