| NPI | 1902208358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10003350A) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9108234) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2023-09-29 |