| NPI | 1396860169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 6587) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9102170) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2024-03-18 |