| NPI | 1952934549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4521) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AL PA.1577) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2022-03-22 |