| NPI | 1326696873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9114646) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007215) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2022-12-11 |