| NPI | 1073848602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106857) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 5662) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2024-10-20 |