| NPI | 1033170774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 103986) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9105479) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2023-07-14 |