| NPI | 1306948179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107853) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 004326) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2023-01-30 |