| NPI | 1003879735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9103457) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110010456) |
| 363AM0700X Physician Assistant, Medical (Licence: NY 029626) | |
| 363AM0700X Physician Assistant, Medical (Licence: CA PA62280) | |
| 363AM0700X Physician Assistant, Medical (Licence: WI 724323) | |
| 363AM0700X Physician Assistant, Medical (Licence: HI AMD1403) | |
| 363AM0700X Physician Assistant, Medical (Licence: IL 085009476) | |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2024-12-18 |