| NPI | 1013498849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9114435) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 8899) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2022-10-04 |