| NPI | 1154531796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118802) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 7808) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-03-03 |