| NPI | 1407227556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA 340042) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9109078) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2024-07-24 |