| NPI | 1922580638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR 979) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 3503) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2021-05-24 |