| NPI | 1093265753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 008723) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9109944) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2018-08-16 |