| NPI | 1023248358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 1649) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105031) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2022-07-21 |