| NPI | 1346489606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004193) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9104916) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2013-06-06 |