| NPI | 1922653526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 324953) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MS PA00504) |
| 363A00000X Physician Assistant (Licence: TN PA5794) | |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2024-02-09 |