| NPI | 1871905273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4550) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT 74075) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2022-08-26 |