| NPI | 1083665459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9104786) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA052039) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9104786) | |
| 363AS0400X Physician Assistant, Surgical (Licence: FL PA9104786) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-02-23 |