| NPI | 1295963486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PAT9105033) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: FL EMT510336) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-10-20 |