| NPI | 1952817835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3882) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 2915) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2024-04-25 |