| NPI | 1225547417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9110690) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 3032) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2025-06-16 |