| NPI | 1245616978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9273) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PAT9108929) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2023-11-14 |