| NPI | 1346684586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9119668) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 3327) |
| 363A00000X Physician Assistant (Licence: DE C5-0000871) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2025-04-24 |