| NPI | 1356121818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA911703) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA9117903) |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant, Medical (Licence: PA9117903) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2024-04-24 |