| NPI | 1013133826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106235) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-12-13 |