| NPI | 1912518390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 5624) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2025-06-25 |