| NPI | 1275511727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 003018) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9108426) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2016-11-08 |