| NPI | 1861093478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4664) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA 324757) |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2023-10-20 |