| NPI | 1194844183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 1337) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9103353) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2009-02-10 |