| NPI | 1902145972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2264) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 2264) |
| 363AM0700X Physician Assistant, Medical (Licence: TN 2264) | |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2024-07-23 |