| NPI | 1093144271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107494) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0009371) |
| 363A00000X Physician Assistant (Licence: GA 12567) | |
| 363A00000X Physician Assistant (Licence: NC 0010-14753) | |
| 363A00000X Physician Assistant (Licence: TX PA18617) | |
| 363A00000X Physician Assistant (Licence: WA PA70020840) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2025-08-19 |