| NPI | 1235289158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9101110) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL PA9101110) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2021-09-07 |