| NPI | 1003298969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 13002) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9110768) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2026-04-07 |