| NPI | 1023321882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 12767) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105489) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2025-02-03 |