| NPI | 1881888980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA318) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR GL-015) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2025-11-26 |