| NPI | 1275026502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117433) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 8813) |
| 363A00000X Physician Assistant (Licence: NY 028246) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-11-09 |