| NPI | 1942526223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.994) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 1832) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2015-09-29 |