| NPI | 1235206483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9116508) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA18711) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-11-16 |