| NPI | 1972241826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2617) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-05-21 |
| Last Update Date | 2024-04-25 |