| NPI | 1871745869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 6656) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 4658) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2026-04-19 |