| NPI | 1215327853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9108554) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL PA9108554) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9108554) | |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2025-06-27 |