| NPI | 1134370331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9115768) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA 60672600) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2024-07-16 |