| NPI | 1386181667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: FL PA9115755) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: NY 020543) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2024-04-11 |