| NPI | 1326516964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9115523) |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2024-07-31 |