| NPI | 1275557217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9117211) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NH 0584) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-09-20 |