| NPI | 1033442017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9115504) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 6696) |
| 363A00000X Physician Assistant (Licence: TX PA07003) | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2024-05-07 |