| NPI | 1043286354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC PA842) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 009349-1) |
| 363A00000X Physician Assistant (Licence: FL PA9102468) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-08 |