| NPI | 1346057916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9119895) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-02-25 |