| NPI | 1982248126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110007882) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10005132A) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2026-08-06 |