| NPI | 1386191724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: FL PA9113471) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-10-30 |