| NPI | 1366494338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9102916) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9102916) |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: FL PA9102916) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-12-03 |