| NPI | 1962081349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4499) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NV 2702) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2025-12-29 |