| NPI | 1275666737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9103057) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 36812) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-04-15 |