| NPI | 1023190394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA3522) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007202) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2025-01-13 |