| NPI | 1356883532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9111213) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058733) |
| 363A00000X Physician Assistant (Licence: PA OA003978) | |
| Enumeration Date | 2016-11-05 |
| Last Update Date | 2018-10-09 |